6: Clinical Pelvis

Question 1

Motions of superior pelvis

Answer 1

Respiratory and craniosacral

Question 2

Motions of middle pelvis

Answer 2

Postural

Question 3

Motions of inferior pelvis

Answer 3

Dynamic (walking)

Question 4

When are the pubic rami inferior? Superior?

Answer 4

Inferior: Ant. rotation
Superior: Posterior rotation

Question 5

What do you change when correcting a superior shear on a pt with a hip replacement?

Answer 5

Use EXTERNAL instead of INTERNAL rotation

Question 6

Mitchell sequence of pelvic dysfunction Tx

Answer 6

1. Non neutral Thoracics/Lumbars
2. Innominate/pubic Shears
3. Sacroiliac dysf
4. Iliosacral dysf

Question 7

Where is the tender point for Iliacus?

Answer 7

1/3 between ASIS and midline

Question 8

Counterstrain for Iliacus

Answer 8

Frog legs: Flex hips up, flex knees, cross ankles, knees fall apart

Question 9

Piriformis Tender point

Answer 9

Halfway between PSIS and ILA

Then halfway between that and greater trochanter

Question 10

Counterstrain for piriformis

Answer 10

Prone; flexed hip and knee–>ABduct and Externally rotate

Question 11

What % of the population experiences low back pain each year?

Answer 11

50%

Question 12

97% of LBP is due to what problem?

Answer 12

MSK issues

Question 13

Sacroilitis will refer pain where?

Answer 13

To the groin

Question 14

Sciatic can be due to hypertonicity of what muscle?

Answer 14

Piriformis

Question 15

UE pain is usually related to what m?

Answer 15

Lats

Question 16

What can be a source of incontinence and loss of sphincter tone?

Answer 16

Pelvic diaphragm dysfunction